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外国人签证证件申请表

VISA / STAY PERMIT / RESIDENCE PERMIT APPLICATION FORM

（请用黑色或蓝色墨水笔填写内容）

Please complete the form in black or blue ink

1、 姓                  名                    中文姓名

Surname            Given name            Name in Chinese          

国籍              出生日期      年   月  日    出生地 

Nationality        Date of birth     Y   M   D  Place of birth         

性别：   男        女       电子邮件地址

Sex      M. □     F. □    E-mail                                  

   在华住址                                                 申请人电话

Address in China                                          Tel                          

在华单位                                         联系人姓名和电话

Company/School in China                          Contact person & tel.                   

2、护照种类       外交            公务(官员)            普通          其他

   Passport type   Diplomatic□     Service (Official) □     Ordinary□    Other□    

护照号码                        有效期至          年        月        日

   Passport No.                     Valid until          Y         M        D

3、现持有效签证证件种类    签证    停留证件      居留证件            免签

   Current visa category     Visa□   Stay permit□   Residence permit□   Visa free□

证件号码                        有效期至           年        月        日

   Visa No.                         Valid until          Y         M        D

4、使用同一护照的偕行人  Dependents on same passport

姓            名               性别          出生日期         与申请人关系

Surname       Given name       Sex          Date of birth        Relationship  

  5、申请签证填写  For visa only

F访问                 L旅游      M贸易       Q2团聚           J2记者

Non-commercial business□    Tourist□     Business□      Family reunion□      Journalist□ 

S2私人事务            X2学习    R人才      G过境         C乘务 

Personal affair□         Student□   Talent□       Transit□          Crew□

团体签证分离                团签          申请停留期限至  年     月     日

Separation from group visa□    Group visa□   Valid until        Y      M     D

   换发       补发        入境次数  停留天数        入境有效期至    年  月  日

   Renewal□  Reissue □  Entries    Duration of stay    Entry before    Y   M   D

请填写双面  Please fill out both sides  

6、申请停留证件填写  For stay permit only

免签          船员         退籍               人道主义          其他

Visa free□    Crew□       Renouncement□     Humanitarian□     Others□

补发          申请停留期限至   年       月      日  

Reissue□      Valid until         Y       M       D

7、申请居留证件填写  For residence permit only

工作           学习          记者          团聚              私人事务

 Employee□     Student□      Journalist□    Family reunion□   Personal affair□

换发           补发          申请居留期限至   年      月       日

Renew□        Reissue□     Valid until         Y       M       D

8、 申请其他证件填写  For other documents

外国人旅行证                        旅行目的地

Foreign citizen travel documents□        Destination                           

 外国人出入境证                          申请日期至       年       月      日

Foreign citizen exit-entry permit□        Valid until         Y       M       D

勤工助学或校外实习加注                申请日期至       年       月      日

Study-work / Internship□               Valid until         Y       M       D

9、申请变更填写  For change of the following

姓名      护照号码        事由             增/减偕行人数

    Name□   Passport No.□   Purpose of stay□   Add/Reduce number of dependents□

其他注明

Or others                                                                   

10、备注 Notes                                                                

我保证以上填写的内容真实、准确、完整，并保证在停留居留期间遵守中华人民共和国的法律。

I hereby declare that the information given above is true, correct and complete. I shall abide by the Chinese laws and regulations during my stay in the People’s Republic of China.

申请人签字                                代办人签字                 

Applicant's signature                         Agent's signature                        

联系电话                                  联系电话 

Applicant's Tel                              Agent's Tel                            

申请日期            年      月      日    单位印章                         

Application date      Y        M      D    Company/School’s seal